Bailey Park Clc
Bailey Park Clc Information
| Facility Name | Bailey Park Clc |
| Location | 2400 Mitchell Street, Humboldt, TN 38343 |
| County (SSA Code) | Gibson (260) |
| Phone Number | 731-784-5183 |
| Certification(s) | Medicare and Medicaid |
| Number of Beds | 50 |
| Average Number of Residents | 36.5 |
| CCRC Facility? | No |
| Medicare Rating | No Rating |
| Special Focus Status | SFF |
| Abuse Flag | No |
| Sprinklers Installed | Yes |
| Located In Hospital | No |
| Resident Family Council | Resident |
| Provider Business Name | CLC OF HUMBOLDT, LLC |
| Ownership Type | For profit - Individual |
| Date First Approved | 1994-11-02 |
| Reported Nurse Aide Staffing Hours per Resident per Day | 2.08424 |
| Reported LPN Staffing Hours per Resident per Day | 0.97997 |
| Reported RN Staffing - Hours per Resident per Day | 0.69168 |
| Reported Licensed Staffing - Hours per Resident per Day (RN + LPN) | 1.67165 |
| Reported Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 3.7559 |
| Reported Physical Therapy Staffing - Hours per Resident Per Day | 0.06644 |
| Case-Mix Nurse Aide Staffing - Hours per Resident per Day | 2.20548 |
| Case-Mix LPN Staffing - Hours per Resident per Day | 0.74452 |
| Case-Mix RN Staffing - Hours per Resident per Day | 0.34652 |
| Case-Mix Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 3.29652 |
| Adjusted Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 3.63246 |
| Total Weighted Health Survey Score for three cycles | 212 |
| Rating cycle 1 Standard Survey Health Date | 2019-12-04 |
| Rating cycle 1 - Health Deficiency Score | 2 |
| Rating cycle 1 - Total Health Inspection Score | 612 |
| Date of Rating cycle 2 Standard Health Survey Date | 2019-02-28 |
| Rating cycle 2 - Health Deficiency Score | 612 |
| Date of Rating cycle 3 Standard Health Survey Date | 2018-04-11 |
| Rating cycle 3 - Health Deficiency Score | 24 |
| Rating cycle 3 - Total Health Inspection Score | 24 |
| Number of Facility-Reported Incidents | 0 |
| Number of Substantiated Complaints | 0 |
| Number of Substantiated Complaints | 0 |
| Number of Fines | 1 |
| Total Amount of Fines (in Dollars) | 27505 |
| Total Number of Penalties | 1 |
| Data Filing Date | 2020-10-01 |
| Page Last Updated | 2020-11-28 |